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复发/难治性多发性骨髓瘤的医师治疗偏好:一项离散选择实验。

Physician treatment preferences for relapsed/refractory multiple myeloma: a discrete choice experiment.

机构信息

IQVIA Patient Centered Solutions, 3 Forbury Place, 23 Forbury Road, Reading, RG1 3JH, UK.

IQVIA US Medical and Scientific Services, Real World Evidence Solutions, 3110 Fairview Park Drive, Suite 400, Falls Church, VA 22042, USA.

出版信息

Future Oncol. 2022 Aug;18(25):2843-2856. doi: 10.2217/fon-2022-0378. Epub 2022 Jul 8.

Abstract

This study aimed to assess physician preferences for later lines (third to fifth) of therapy in patients with relapsed/refractory multiple myeloma (RRMM) in the USA. Factors relevant to physicians' treatment preferences for RRMM were identified from a literature search and refined in a qualitative phase. Preferences were quantitatively assessed using a discrete choice experiment. Physicians (n = 227) made choices regarding treatment scenarios for RRMM. Efficacy had the highest mean relative importance, with overall survival valued as most important when making treatment decisions for patients with RRMM. Reduced incidences of keratopathy and thrombocytopenia had similar relative importance in later-line treatment. Greater understanding of physicians' criteria for clinical decision-making may help inform wider adoption of new treatments.

摘要

本研究旨在评估美国复发性/难治性多发性骨髓瘤(RRMM)患者后续治疗线(第三至五线)中医生的偏好。从文献检索中确定了与医生治疗 RRMM 偏好相关的因素,并在定性阶段进行了优化。使用离散选择实验对偏好进行了定量评估。医生(n=227)就 RRMM 的治疗方案做出选择。疗效具有最高的平均相对重要性,当为 RRMM 患者做出治疗决策时,总生存期被视为最重要的因素。在后续治疗中,角膜病变和血小板减少症发生率降低的相对重要性相似。更深入地了解医生的临床决策标准可能有助于为新疗法的广泛采用提供信息。

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